# INTEGRATE COMMUNITY HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** METRO PAVIA CLINIC - GUAYAMA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093103566
- **Authorized official:** MRS. VIVIAN SOLIVAN (DIRECTOR)
- **Authorized official phone:** (787) 772-9850

## Contact information

- **Practice address:** 54 AVENIDA PRINCIPAL KM03, URB BRISAS DEL MAR, GUAYAMA, PR 00784
- **Practice address phone:** (787) 772-9850
- **Practice address fax:** (787) 641-4240
- **Mailing address:** 400 CALLE CALAF, PMB 455, SAN JUAN, PR 00918-1314
- **Mailing address phone:** (787) 772-9850
- **Mailing address fax:** (787) 641-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | NULL | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 01/07/2025